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Navy S Marine Corps Medical News (MN-00-18) , May 5, 2000 

The Navy Bureau of medicine and Surgery distributes Navy 
and Marine Corps Medical News (MEDNEWS) to Sailors and 
Marines, their families, civilian employees and retired 
Navy and Marine Corps families . 

MEDNEWS is a weekly compendium of news and information 
contributed by commands throughout the Navy Medical 
department. Information contained in MEDNEWS stories is 
not necessarily endorsed by BUMED, nor should it be 
considered official Navy policy. 

To achieve maximum medical information distribution, 
your command is highly encouraged to distribute MEDNEWS to 
ALL HANDS electronically, include MEDNEWS in command 
newspapers, newsletters and radio and TV news programs. 

Stories in MEDNEWS use these abbreviations after a Navy 
medical professional ' s name to show affiliation: MC - 
Medical Corps (physician) ; DC - Dental Corps; NC - Nurse 
Corps; MSC - Medical Service Corps (clinicians, researchers 
and administrative managers) . Hospital Corpsmen (HM) and 
Dental Technician (DT) designators are placed in front of 
their names. 


Contents for this week's MEDNEWS: 

Headline: Practice makes perfect for Fleet Hospital 

Headline: New clinic provides combined servicesHeadline : Cohen, Shelton 
address top personnel aspects of 
DoD budget 

Headline: Medical Service Corps plank owner dies at 100 years old 
Headline: "5-A-Day" nutrition video wins visual information award 
Headline: Central Region medical symposium 
Headline: Anthrax question and answer 
Headline: TRICARE question and answer 
Headline: Healthwatch: Fat and your heart 


Headline: Practice makes perfect for Fleet Hospital 

By JOl Maria Christina Mercado, Fleet Hospital Pensacola 

PENSACOLA, Fla. — If you've visited Naval Hospital 
Pensacola recently you may have noticed large groups of 
Sailors dressed in camouflage clothing putting up tents, 
which are part of continuing training for hospital staff 
members assigned to Fleet Hospital Pensacola. 

Naval Hospital Pensacola is home to one of six fleet 
hospitals . Fleet hospital units are designed to provide 
comprehensive medical support to Marines in a combat zone. 
Fleet hospitals comprise multiple tents complete with 

operating rooms and administrative spaces. In addition to 
supporting combat missions, a fleet hospital can also be 
deployed to support peacetime operations and humanitarian 
missions . 

Naval Hospital Pensacola's Fleet Hospital was 
established in 1997. It is currently Navy Medicine's 
deployable unit on call. Last October, Fleet Hospital 
staff went through an operational readiness evaluation at 
Fleet Hospital Operations and Training Command at Camp 
Pendleton, Calif. , to become certified as mission ready. 

"The hospital ' s team did really well and learned a lot, 
however, the training must continue in order to maintain 
readiness, " said Lt. Kim Brown, MSC, head of the hospital's 
Plans, Operations, and Medical Intelligence Department. 
"Each person assigned to the fleet hospital has key 
elements that they need to train to according to their 
assignment, " she said. 

A major training exercise, involving the hospitals is 
scheduled for May 9-12. More than 160 reservists will fill 
positions in Naval Hospital Pensacola while staff train in 
the Fleet Hospital . 

When deployed, a fleet hospital is self-supporting. It 
ranges in size from 100 to 500 beds complete with operating 
room, x-ray facilities, communications center and even a 
barber shop, ship's store and dining facility. 

The Fleet Hospital Pensacola training set is up and 
operational about six months a year. It is taken down at 
the beginning of each hurricane season and reassembled in 
December . 

Fleet Hospital staff have a weekly training schedule to 
practice their skills used in the field. 

"The weekly training is important because you can never 
be prepared enough, " said Chief Hospital Corpsman (FMF) 
Bonnie Brooks, an operational training coordinator assigned 
to the Fleet Hospital. "After you are placed in harms way 
you'll need to react. The training you receive will kick 
in and it will help you complete the mission . " 


Headline: New clinic provides combined services 

By Lt. Cmdr. Deann Farr, MSC, Naval Hospital Key West 

KEY WEST, Fla. — A new 60,000 square foot combined 
services clinic that replaces a 1942-era hospital was 
dedicated April 20 at U.S. Naval Station, Key West, Fla. 

The facility will be home to the Naval Branch Dental 
Clinic, Naval Branch Medical Clinic and the Department of 
Veteran's Affairs Clinic, Key West. This new combined 
services clinic is expected to have more than 42, 000 
patient visits a year. The new facility was dedicated to 
the late Rear Adm. Robert W. Elliott, Jr., DC, who was a 
retired former Chief of Naval Dental Corps. Elliott was a 
proponent for improving military qualify of life. 

The Navy and the Department of Veteran's Affairs have 
had a long-standing relationship in Key West . In the mid- 
1980s the former Naval Medical Clinic, Key West, initiated 

a sharing agreement wherein Navy provided space, ancillary 
support and limited primary care services to eligible 
veterans, and the Veterans Administration provided 
psychiatric care for veteran's and psychiatric consultation 
for active duty personnel. Over the years, the Veteran's 
Clinic was expanded to include primary care, physical 
therapy and administrative services to veterans. 

Within the new complex, Navy continues to provide all 
laboratory, pharmacy and radiology services to veterans, 
and active duty personnel receive mental health 
consultation and physical therapy services from Veterans 
Administration staff. 


Headline: Cohen, Shelton address top personnel aspects of 
DoD budget 

By Jim Garamone, American Forces Press Service 

WASHINGTON, April 27, 2000 — Fixing TRICARE, moderating 
the tempo of operations and housing are top DoD quality of 
life priorities for the fiscal 2001 defense budget request, 
Defense Secretary William S. Cohen and Chairman of the 
Joint Chiefs of Staff Army Gen. Henry Shelton said April 

Cohen and Shelton testified before the Defense 
Subcommittee of the Senate Appropriations Committee. 

Cohen thanked the committee for funding the fiscal 2000 
pay raises and fixing military retirement , but said more 
must be done. He said housing and health care are the two 
areas that concern him most in the fiscal 2001 request. 

Shelton said fixing TRICARE is not only the "right thing 
to do, it is the smart thing to do. " He said the system, 
the nation ' s largest health care provider, "is not user 
friendly. " While military members and their families are 
generally satisfied with the care they receive once they 
have entered the TRICARE system, "they are frustrated with 
the system as a whole, " Shelton said. 

The senators asked Cohen and Shelton what DoD wants to 
do to reform the system. They urged DoD to hurry with a 
proposal to Congress. "The chairman and I are looking at 
the pharmacy benefit, and that ' s something that we think we 
can recommend fairly quickly, " Cohen said. "But we 're still 
trying to work out what the price tag is going to be. ... " 

The Secretary said DoD is looking at the possibility of 
using VA medical treatment facilities and the possibility 
of opening the Federal Employee Health Benefits Plan to 
military retirees. He said DoD is still looking at the 
options, "but I would say in the next few weeks, we should 
have some kind of a recommendation coming to you. " Cohen 
said any solution would be "fairly expensive . " 

Cohen also explained the administration's budget request 
for military housing. "On housing, we ... included some 
$3.1 billion in the budget for the five-year period to 
eliminate the inequity that currently exists [between 
service members living on base and off base]". The money 
will eliminate the 19 percent of housing costs service 

members living off base must pay out of pocket, he said. 

"We are trying to deal seriously with the housing 
situation, " Cohen said. "We've got a long way to go in 
terms of rehabbing and replacing much of the housing that 
currently exists to make sure we are providing adequate 
housing for the men and women who are serving us. " 

Operations and maintenance accounts are in good shape, 
he said, "but, I will tell you, there ' s not any margin for 
us to absorb further cuts in operations and maintenance 
funding. " 

Cohen and Shelton both said the U.S. military position 
around the world is good but that the forces are over- 
stretched. "I think the force is relatively healthy, 
although it is stretched, " Shelton said. "And I would tell 
you that unit personnel shortages continue to plague many 
units in the field. " He said the first-to-fight units are 
combat-ready, but that follow-on units are not manned or 
equipped as well . 

"The current tempo of operations ... is having an effect 
on [service members] and also on their family members, " 
Shelton said. "We still encounter frequent, often 
unexpected and persistent, deployments . And that of course 
produces stress. Ultimately, if we are not careful, too 
many protracted deployments will inevitably disrupt our 
operating budgets and cause lost training opportunities . 
And of course, it always accelerates the wear and the tear 
on the equipment, which then leads to additional 
recapitalization requirements. 

"But most importantly, " Shelton continued, "I think, our 
high pace of operations impacts quality of life. And it 
could, if we aren't careful, jeopardize our capability to 
retain the great quality force that we have worked so hard 
to build. " 

Shelton said DoD is increasing the size of some of the low- 
density, high-demand forces as well as using "all of the 
tools in our kit bag" to solve the perstempo problem. 
Headline: Medical Service Corps plank owner dies at 100 
years old 

By Rod Duren, Naval Hospital Pensacola 

PENSACOLA, Fla. — One of the original plank owners and 
one of the first commissioned officers in the Navy Medical 
Service Corps, Lt. Cmdr. Ralph W. Price, MSC, (ret.), died 
April 6 of pneumonia. He was 100 years old. 

Price, who joined the Navy at 17, had 31 years of naval 
service in, among other assignments, USS Solace in World 
War 1, Marine units in France and the commissioning crew of 
Naval Hospital Gulfport, Miss. 

"Lt. Cmdr. Price was an inspiration to me and inspired 
many, many Medical Service Corps officers who had the 
pleasure of knowing him, " said Cmdr. Pat Kelly, MSC, 
director for administration at Naval Hospital Pensacola. 

Price received a letter from the Chief of the Medical 
Service Corps, Rear Adm. J. Philip VanLandingham, offering 
congratulations on Price's 100th birthday. VanLandingham 

is the nephew of Capt . Emmitt L. VanLandingham Jr., former 
MSC director and, along with Price, one of the original 
plank owners of the MSC. 

In 1935, Price was commissioned as a chief warrant 
officer pharmacist . Seven years later, while stationed at 
NH Jacksonville, he was commissioned a lieutenant junior 
grade. In 1947 he became one of 252 original plank owners 
of the Navy's Medical Service Corps (MSC). 

The oldest former MSC officer, and oldest known former 
hospital corpsman, was Naval Hospital Pensacola's special 
guest of honor at the 100th anniversary of the Navy's 
Hospital Corps in June 1998. 

"Lt. Cmdr. Price wrote (a letter to) us, " said Kelly, 
saying: 'I am proud to be an officer in the Medical Service 
Corps . . . and how it is a pleasure to know what little I 
contributed to the groundwork done by the early MSCs was 
effective ' " . 

The Indiana native retired from the Navy on January 1, 
1949. He moved to Pensacola in 1952. In subsequent years, 
he worked for the Escambia County, Florida Health 
Department as an inspector and became the first director of 
United Cerebral Palsy of Pensacola in 1955. 


Headline: "5-A-Day" nutrition video wins visual information 

By Duane G. Straub, Naval School of Health Sciences 

BETHESDA, Md. — The Bureau of Medicine and Surgery 
visual information production entitled "5 A Day" produced 
by the Naval Media Center on behalf of the Naval 
Environmental Health Center, Norfolk, Va., received a 
second place award in the Internal/Public Information 
Category at the DOD-sponsored Visual Information 2000 
Conference in April . 

It was second to an Air Force production entitled "Wings 
Over Kosovo, " which also won the visual information 
Production of the Year Award. 

"5 A Day" is an internal information production 
contracted through the Naval School of Health Sciences 
Visual Information section about nutrition and is intended 
to encourage everyone to eat as least five servings a day 
of fruits and vegetables . This DOD-oriented production 
includes views of personnel from all services and the Coast 


Headline: Central Region medical symposium 
From Bureau of Medicine and Surgery 

The United States Central Command (USUSCENTCOM) is 
sponsoring its first central region medical symposium in 
Tampa, Fla., August 7-9 at the Crowne Plaza Hotel, 700 
North West shore Blvd, Tampa, Fla. The theme of this 
symposium is "Shaping Health Support in the Central Region 
for the 21st Century". 

The primary objective and intent of the symposium is to 
foster military-to-military relationships between senior 

and key military medical representatives of selected area 
of responsibilty (AOR) countries and USUSCENTCOM command 
and staff. 

The symposium will focus presentations and discussions 
on strategic and operational level issues. It will also 
assist in ensuring optimal health support to forces in the 
USUSCENTCOM AOR during peace, contingency operations, or 
catastrophic events resulting from natural or man-made 
disasters . 

The symposium target audience includes senior and key 
military medical leaders (armed forces surgeons general, 
directors of defense medical services, military health care 
administrators , medical plans, operations, intelligence and 
training officers) from selected countries in our AOR. 
Those countries without military medical personnel may send 
defense medical/health ministry or department 
representatives . 

AOR countries invited include Bahrain, Djibouti, Eygpt, 
Ethiopia, Eritrea, Jordan, Kazakhstan, Kenya, Kyrgyzstan, 
Kuwait, Oman, Qatar, Saudi Arabia, Seychelles Islands, 
Turkmenistan, United Arab Emirates, Uzbekistan, and Yemen. 
Pakistan and Tajikistan invitations are contingent on OSD 
approval . 

English will be the language of the symposium. It is 
strongly recommended and encouraged that all invitees be 
able to understand and speak English. Limited funds are 
available for Russian interpreters. 

A preliminary agenda and program of events will be 
published no later than May 1 and displayed on the 
USCENTCOM home page at 

The USCENTCOM surgeon invites attendees to submit 
symposium theme presentations . Please notify one of the 
points of contact identified later by May 1 and submit a 
one-page abstract no later than June 1 . Call a point of 
contact for format information and other details. 

Billeting is available at the conference for all 
attendees. For reservations call 1-800-465-4329 . A 
special conference rate of $86. 00 will be available until 
June 30, 2000. 

All attendees must submit pre-registration information. 
The format is available on the USCENTCOM surgeon's web site 
at www . USCENTCOM. mil/command . 

Applicants may also fax the pre-registration information 
to DSN 968-2129 /comm (813) 868-2129. Attendees must pay a 
non-reimbursable cash registration fee of $25.00. 

The uniform for at this symposium is summer service 
short sleeve shirt with open collar (class B uniform) . 
Civilians will wear the equivalent. 

Points of contact for this symposium are Lt. Cmdr. Adams 
(conference coordinator), LtCol. Sanders (co-director), Lt. 
Col. Winklepleck (co-director) , Col. Davis (director) and 
Col. Kasperik (symposium host); DSN 968- 
5801/5802/6402/6397, COMM: 813-828-xxxx, e-mail:;; 

winkle jm@ USCENTCOM . rail; davischQ USCENTCOM . mil . 


Headline: Anthrax question and answer 
From Bureau of Medicine and Surgery 

Question: How will the program be implemented? 

Answer: Each service participated in the development of 
the armed forces immunization plan. The DoD Anthrax 
Vaccine Immunization Plan calls for vaccination of active 
and reserve components and DoD civilians and civilian 
contractors categorized as emergency essential, to be 
executed in three phases: 

Phase I. Forces assigned in the high-threat areas of 
Southwest Asia and Northeast Asia (Korea) and their 
contiguous waters. This phase will include personnel 
rotating into these high-threat areas and contiguous 
waters, personnel on temporary duty in these areas, and the 
capability at all DoD installations to vaccinate forces 
being assigned, deploying to or redeploying from these 
high-threat areas. 

Phase II. Early deploying forces who will deploy 
immediately upon notification to forces who may deploy 
within 35 days of notification. 

Phase III. The remainder of the military force, accessions 
and program sustainment . 

For more information visit the Navy medical anthrax 
website at http : //www-nehc . med. navy .mil /prevmed/epi/ anthrax 
or the DOD anthrax website at 


Headline: TRICARE question and answer 
From Bureau of Medicine and Surgery 

Question: If my family moves to a different region, are 
we (active duty) automatically assigned a new Primary Care 
Manager, or do we have to re-enroll? 

Answer: Enrollment in TRICARE Prime entails the 
assignment of a Primary Care Manager, enrollment in DEERS, 
and communication with the member on what enrollment in the 
TRICARE program means. Active duty members will enroll in 
TRICARE Prime. For active duty family members, enrollment 
in TRICARE Prime is voluntary. 

For more information, visit the TRICARE website at 
http: //www. tricare . . 


Headline: Healthwatch: Fat and your heart 
From Bureau of Medicine and Surgery 

WASHINGTON — Coronary artery disease is the leading 
cause of death in the United States. Our diet plays a major 
role in its development. The American Heart Association 
recommends that we consume no more than 30 percent of our 
daily calories from fat . However, the American diet 
consists of greater than 37 percent fat. 

What can we do to trim this excess fat from our diet? A 
good start is to learn the fat content of the foods that we 
consume on a daily basis. Another way is to follow these 
tips: Ten Easy Ways to Reduce the Fat in Your Diet: 

1) Switch from whole milk to skim or 1 percent. 

2) Use mustard and ketchup instead of mayonnaise. 

3) Eat no more than three egg yolks a week. - 

4) Avoid menu items with names such as sauteed, fried, 
smothered, battered and au gratin. 

5) Eat hot air popcorn instead of microwave brands, and 
pretzels instead of potato chips. - 

6) Choose lean meats, trimming excess visible fat and 
removing skin from poultry . 

7) Avoid foods with more than five grams of fat per 

8) Bake, broil, grill and steam food, instead of frying. 

9) Use fat- free salad dressings, which can reduce fat 
intake by as much as 18 grams of fat per serving. 

10) Eat non-fat yogurt instead of ice cream. 

It ' s never too early or too late to begin reducing the 
fat content in our diets. 


Comments about and ideas for MEDNEWS are welcome . Story 
submissions are encouraged. Contact MEDNEWS editor, Earl 
W. Hicks, at email:; Telephone 
202/762-3223, (DSN) 762-3223, or fax 202/762-3224.